G2022 HCPCS - A MODEL PARTICIPANT (AMBULANCE SUPPLIER/PROVIDER), THE BENEFICIARY REFUSES SERVICES COVERED UNDER THE MODEL (TRANSPORT TO AN ALTERNATE DESTINATION/TREATMENT IN PLACE)

Code Information

  • HCPCS Code: G2022
  • Sequence Number: 0010
  • Short Description: Benef refuses service, mod
  • Long Description: A model participant (ambulance supplier/provider), the beneficiary refuses services covered under the model (transport to an alternate destination/treatment in place)
  • Date Added: 1/1/2020
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/2020
  • Classification: Temporary Procedures & Professional Services
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: M5D - Specialist - other
  • Type Of Service Code:
    • 9 - Other medical items or services

Billing Information

  • Pricing Indicator Code:
    • 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
  • Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
  • Coverage Issues Manual Reference Section Number:
      N/A
    • Medicare Carriers Manual Reference Section Number:
        N/A
      • Coverage Code: C - Carrier judgment

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code G2022
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description A model participant (ambulance supplier/provider), the beneficiary refuses services covered under the model (transport to an alternate destination/treatment in place)
      HCPCS Short Description Benef refuses service, mod
      HCPCS Pricing Indicator Code 1 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
      HCPCS Multiple Pricing Indicator Code 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
      HCPCS Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code M5D - Specialist - other
      HCPCS Type Of Service Code 1 9 - Other medical items or services
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2020
      HCPCS Action Effective Date 1/1/2020
      HCPCS Action Code N - No maintenance for this code

      Download Record

      Download this CLIA record record in Text format: Export

      Download this CLIA record record in Excel (CSV) format: Export

      Download this CLIA record record in XML format: Export

      This page was last updated on: 7/1/2024